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- W2247884495 abstract "Objective: The implantable cardioverter defibrillator (ICD) is a device that continuously monitors the electrical activity of the heart and can terminate arrhythmias via defibrillation. We report a case of posttraumatic stress disorder (PTSD) after ICD shocks were delivered by the device due to an episode of arrhythmia. Case report: A 38 year-old man had suffered from sudden onset of cardiac arrest 8 years prior to this admission, when emergent resuscitation with defibrillation had saved his life. Due to the uncontrollable ventricular arrhythmia which began 7 years after the initial cardiac event and occurred repeatedly over 2 days, malignant ventricular arrhythmia was diagnosed and an ICD was implanted. Three months later, arrhythmia recurred and successive ICD shocks were delivered by the device with resulting stabilization. However, he developed serious anxiety, depression, and PTSD was diagnosed as a result of these events based on symptoms including re-experience, avoidance and hyperarousal. Antidepressants and cognitive behavior therapy were given and the symptoms improved. Conclusion: Awareness of the risk of PTSD in patients with an ICD after the delivery of shocks to correct arrhythmia is needed when using this device to treat patients with cardiovascular disease." @default.
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- W2247884495 date "2005-12-01" @default.
- W2247884495 modified "2023-09-27" @default.
- W2247884495 title "Posttraumatic Stress Disorder after Delivering of Shocks by an Implantable Cardioverter-defibrillator" @default.
- W2247884495 doi "https://doi.org/10.29478/tjp.200512.0009" @default.
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